WEBVTT 1 00:00:00.040 --> 00:00:01.840 Like, I'm sure you must have heard about the Jewish 2 00:00:01.879 --> 00:00:05.120 couple that got murdered by the Palestinian supporter. 3 00:00:05.839 --> 00:00:07.040 What is wrong with people? 4 00:00:07.519 --> 00:00:11.960 I mean, honestly, let's see, I don't like the government 5 00:00:12.320 --> 00:00:16.039 of your ancestors and your people, so therefore. 6 00:00:15.759 --> 00:00:25.480 I will kill you. It's just evil, That's correct. 7 00:00:27.440 --> 00:00:32.640 And I think if if we step back from everything, 8 00:00:33.479 --> 00:00:35.679 you know, the minutia, like I want to talk about 9 00:00:35.679 --> 00:00:38.960 the Medicaid provisions, because there's so much hyperbole out there 10 00:00:39.240 --> 00:00:41.399 about the Medicaid provisions in this bill. 11 00:00:42.119 --> 00:00:42.679 But when you. 12 00:00:42.640 --> 00:00:46.600 Step away from that and you look at kind of 13 00:00:47.679 --> 00:00:51.119 the big stuff going on in the world, it really 14 00:00:51.240 --> 00:00:55.600 is a battle of good versus evil. And I suppose, 15 00:00:55.640 --> 00:01:00.399 if I wanted to, I could take that come man 16 00:01:00.600 --> 00:01:06.719 about good versus evil and drill it down to almost everything, 17 00:01:06.799 --> 00:01:09.640 including you know, maybe even this Medicaid stuff I'm getting 18 00:01:09.640 --> 00:01:12.120 ready to talk about. To give you an idea of 19 00:01:12.200 --> 00:01:17.840 where I'm going, because today is is it's not what 20 00:01:17.920 --> 00:01:21.480 I expected at all. I'm just walking around with my 21 00:01:22.120 --> 00:01:25.040 laptop trying to figure out everything that's going on in 22 00:01:25.040 --> 00:01:25.959 this legislation. 23 00:01:29.480 --> 00:01:31.040 The one thing that. 24 00:01:33.519 --> 00:01:37.159 And I don't think there's anything wrong, because there are 25 00:01:37.159 --> 00:01:41.040 things in this bill that piss me off. And I 26 00:01:41.079 --> 00:01:43.079 know because I'm reading the text line. There are things 27 00:01:43.120 --> 00:01:46.120 in this bill to piss you off. There are also 28 00:01:46.200 --> 00:01:48.840 some things in this bill that I think are good, 29 00:01:49.799 --> 00:01:52.120 and I and I would say, it's about damn time 30 00:01:52.159 --> 00:01:56.040 we've done some of these things. For example, one of 31 00:01:56.079 --> 00:01:59.680 the things that irritates me about the bill is that 32 00:01:59.719 --> 00:02:04.719 it add to the deficit, which so we don't get 33 00:02:04.760 --> 00:02:09.639 an engineering upset, that it adds to the budget deficit annually, 34 00:02:10.159 --> 00:02:13.719 which then means we have to borrow to cover that deficit, 35 00:02:14.240 --> 00:02:17.439 which then that borrowed money gets added to the national debt, 36 00:02:18.479 --> 00:02:28.360 and that drives me crazy. But if if, if Dragon 37 00:02:28.400 --> 00:02:31.599 and I who have And I'm not nearly as good 38 00:02:31.599 --> 00:02:36.000 as what Dragon's done, But I'm as proud of the 39 00:02:36.039 --> 00:02:38.719 weight that I've lost as Dragon is of the weight 40 00:02:38.759 --> 00:02:42.919 that he's lost. But relatively speaking, he has more to 41 00:02:42.960 --> 00:02:47.520 be proud of because he started at a lot worse spot, 42 00:02:47.680 --> 00:02:49.280 relatively speaking than I did. 43 00:02:49.759 --> 00:02:54.639 Yeah, that's something to be proud of, lightly sarcastic, because yeah, 44 00:02:54.639 --> 00:02:56.639 I shouldn't have been up to over three hundred and 45 00:02:56.680 --> 00:02:58.639 fifty pounds, right, So you you have. 46 00:02:59.199 --> 00:03:01.840 In terms of more to be proud of you've had. 47 00:03:01.960 --> 00:03:05.000 You've lost more weight proportionally than I have, and so 48 00:03:05.120 --> 00:03:06.000 you should be. 49 00:03:06.599 --> 00:03:10.520 More proud, could be prouder than I am. 50 00:03:10.879 --> 00:03:12.240 But we both still lost weight. 51 00:03:12.439 --> 00:03:17.560 Correct. We both laugh because now I don't do this. 52 00:03:18.439 --> 00:03:24.319 I don't have a freezer full of frozen crumbled cookie. 53 00:03:23.280 --> 00:03:28.960 I don't have a freezer that has one frozen crumble 54 00:03:29.039 --> 00:03:29.719 cookie in it. 55 00:03:31.719 --> 00:03:34.680 Yeah, okay, back there, you're. 56 00:03:34.639 --> 00:03:40.039 Choking on anything but like a frozen crumbled cookie. So 57 00:03:40.199 --> 00:03:46.240 relatively again, relatively speaking, he and I will h You know, well, 58 00:03:46.479 --> 00:03:49.199 I don't Dragon doesn't weigh every day. I tend to 59 00:03:49.240 --> 00:03:54.039 weigh every day because I I'm just I don't know. 60 00:03:54.080 --> 00:03:57.520 It's just a habit now, and so if if I 61 00:03:57.560 --> 00:03:59.639 bump up a couple of pounds, I know exactly what 62 00:03:59.639 --> 00:04:03.879 I've done. But in the grand scheme of things, unless 63 00:04:03.960 --> 00:04:09.599 I just continually gain weight, and so I go from 64 00:04:09.639 --> 00:04:12.560 my current weight and suddenly I'm back to where I 65 00:04:12.759 --> 00:04:16.639 was ten years ago, then I failed. 66 00:04:17.720 --> 00:04:19.720 Well, I think in many ways. 67 00:04:20.040 --> 00:04:24.920 Adding a few more billions of dollars or actually now 68 00:04:24.920 --> 00:04:27.800 trillions of dollars to the national of debt in the 69 00:04:27.839 --> 00:04:30.879 grand scheme of things for a country that's already left. 70 00:04:33.480 --> 00:04:35.879 Maybe it's just going to speed up the point where 71 00:04:36.319 --> 00:04:39.879 the cadaver finally just gives up the spirit and we 72 00:04:40.000 --> 00:04:44.920 start all over again. The point being that what I 73 00:04:44.959 --> 00:04:49.040 want to do in the next hour is kind of 74 00:04:49.040 --> 00:04:52.680 put it in a little bit of perspective, because there 75 00:04:52.720 --> 00:04:55.439 are things to be irritated about, and there's some things 76 00:04:55.480 --> 00:04:58.399 that we recognize that are good. So we take the 77 00:04:58.439 --> 00:05:01.800 good with the bad, take the win, and we move 78 00:05:01.839 --> 00:05:06.360 on to try to fix the other stuff. I'm still irritated, 79 00:05:06.519 --> 00:05:09.759 don't get me wrong. I'm still irritated. And some of 80 00:05:09.759 --> 00:05:14.879 the things that irritate me now are the claims like 81 00:05:14.959 --> 00:05:18.720 Clara McCaskill about millions of people are gonna lose Medicaid coverage. 82 00:05:19.360 --> 00:05:24.040 What if I told you that might be true, but 83 00:05:24.120 --> 00:05:27.040 I don't give you any context to it. I just 84 00:05:27.079 --> 00:05:29.639 tell you that, yeah, you know what, there are millions 85 00:05:29.680 --> 00:05:34.560 of people might lose Medicaid coverage. Well, what if I 86 00:05:34.639 --> 00:05:40.279 told you that the bill does indeed introduce significant Medicaid 87 00:05:40.279 --> 00:05:44.839 cuts that could result in millions losing coverage over time. 88 00:05:46.000 --> 00:05:52.000 But that's because the bill also includes Medicaid reforms that 89 00:05:52.079 --> 00:05:58.480 are going to result in stricter eligibility and more accountability 90 00:05:58.560 --> 00:06:01.040 for those who are on Medicaid to make certain that 91 00:06:01.079 --> 00:06:05.399 they continue to meet the requirements to be on Medicaid. 92 00:06:08.279 --> 00:06:12.439 The Congressional Budget Office, in the notes and the bill 93 00:06:13.959 --> 00:06:18.720 estimates that the changes to Medicaid could lead up to 94 00:06:18.879 --> 00:06:22.319 Now that this is the CBO, so take it with 95 00:06:22.360 --> 00:06:25.240 a grain of salt, but they estimate that the changes 96 00:06:25.279 --> 00:06:28.800 can lead up to eight point six million people losing 97 00:06:28.920 --> 00:06:35.480 health coverage over a decade. All right, so eight million 98 00:06:35.560 --> 00:06:41.680 over ten years, and it's primarily for Medicaid. Now, there's 99 00:06:41.720 --> 00:06:44.560 also losses that nobody seems to want to talk about 100 00:06:44.959 --> 00:06:47.240 that come from some of the reforms to the Affordable 101 00:06:47.319 --> 00:06:51.560 Care Act Obamacare. So here are some of the specifics. 102 00:06:51.959 --> 00:06:58.240 What are the Medicaid cuts in the big the one 103 00:06:58.519 --> 00:07:04.120 Big Beautiful Bill and the OBBB. We'll call it the OBBB. 104 00:07:05.439 --> 00:07:11.319 So what are the requirements in the OBB It tries 105 00:07:11.360 --> 00:07:15.439 to save about to save eight hundred and eighty billion 106 00:07:15.480 --> 00:07:20.480 dollars over ten years, primarily through proposals that came out 107 00:07:20.519 --> 00:07:23.920 of the House Energy and Commerce Committee. They are cuts 108 00:07:24.040 --> 00:07:29.279 and reforms. Both these are what I consider to be 109 00:07:29.399 --> 00:07:31.279 what I found so far to be I think the 110 00:07:31.399 --> 00:07:40.079 key components one there's a work requirement. Able body adults 111 00:07:40.480 --> 00:07:44.480 between the ages of nineteen and sixty four who have 112 00:07:44.600 --> 00:07:51.079 no dependence must work, volunteer, or be enrolled in some 113 00:07:52.199 --> 00:07:57.240 accredited institution of education for at least eighty hours per 114 00:07:57.319 --> 00:08:04.160 month twenty hours per week in order to qualify for Medicaid. Now, 115 00:08:04.199 --> 00:08:09.160 that requirement was originally set to begin in twenty twenty nine. 116 00:08:10.839 --> 00:08:13.240 If that were the case, I would be arguing, right now, 117 00:08:13.439 --> 00:08:21.040 that's absurd. Well, they accelerated it to next year, primarily 118 00:08:21.040 --> 00:08:25.439 because of Chip Roy from Texas, who wanted even more cuts. 119 00:08:25.439 --> 00:08:29.040 But he wanted to start right now. The others wanted 120 00:08:29.079 --> 00:08:33.279 to wait till twenty twenty nine. Now, why why do 121 00:08:33.360 --> 00:08:34.960 I have to ask? Do I have to answer the 122 00:08:35.000 --> 00:08:37.879 question for you? Why would they wait until twenty twenty 123 00:08:38.000 --> 00:08:42.080 nine to implement a work requirement for medicaid? What's happening 124 00:08:42.080 --> 00:08:43.600 in twenty twenty eight Dragon. 125 00:08:47.080 --> 00:08:50.000 The presidential election? Oh yeah, yeah, so we have to 126 00:08:50.000 --> 00:08:52.960 wait ti life for that. So they did, you know? 127 00:08:53.080 --> 00:08:56.320 So, For as much as I've criticized them, I will 128 00:08:57.039 --> 00:09:00.519 at least give them kudos for accelerating that work requirement 129 00:09:00.559 --> 00:09:05.080 to twenty twenty six. Campaign on it, be proud of it, 130 00:09:05.960 --> 00:09:08.559 say to the millions of people that voted for Donald Trump, 131 00:09:08.799 --> 00:09:12.240 that yes, we decided that if your able body between 132 00:09:12.240 --> 00:09:14.879 the ages of nineteen and sixty four, you got to work, 133 00:09:15.159 --> 00:09:18.600 you got to be actively engaged in volunteer programs, or 134 00:09:18.600 --> 00:09:22.159 you've got to be enrolled in an accredited program of 135 00:09:22.320 --> 00:09:27.600 education for twenty hours a week to qualify for Medicaid. Now, 136 00:09:27.639 --> 00:09:32.679 the CBO estimates that that requirement could exclude one point 137 00:09:32.679 --> 00:09:36.600 five million people from Medicaid. And of the one point 138 00:09:36.679 --> 00:09:40.240 five million, there would be about a little over half 139 00:09:40.279 --> 00:09:46.759 a million, about six hundred thousand that might become actually uninsured. Okay, 140 00:09:46.960 --> 00:09:51.639 that doesn't seem all that bad to me, because why 141 00:09:51.639 --> 00:09:56.440 would you become Why would you get excluded? Well, maybe 142 00:09:56.440 --> 00:09:59.919 you're out of the date range. Maybe there's some reas 143 00:10:00.080 --> 00:10:02.799 and that you don't want to work or volunteer, or 144 00:10:03.039 --> 00:10:04.279 you don't want to go back to school, or you 145 00:10:04.279 --> 00:10:06.360 don't want to stay in school or whatever. Okay, whether 146 00:10:06.440 --> 00:10:09.360 you've made that choice, and if that means you get 147 00:10:09.440 --> 00:10:11.639 kicked off, well then sucks to be you. But that's 148 00:10:11.879 --> 00:10:16.440 those are the choices that you made. That's based on 149 00:10:16.759 --> 00:10:21.279 the CBO estimate. Is I shouldn't say based, but they 150 00:10:21.360 --> 00:10:25.360 cite a study from George's Medicaid work requirement program that 151 00:10:25.480 --> 00:10:28.320 showed that a lot of the eligible individuals failed to 152 00:10:28.320 --> 00:10:34.279 meet those requirements because of the administrative burden, not because 153 00:10:34.320 --> 00:10:37.879 they aren't working, but because it was too much to 154 00:10:37.919 --> 00:10:41.519 try to do all the paperwork. In that study, they 155 00:10:41.519 --> 00:10:45.279 found that ninety two percent of Medicaid recipients were either working, 156 00:10:45.399 --> 00:10:49.200 disabled caregivers, or that they were in school, meaning those 157 00:10:49.240 --> 00:10:54.639 requirements might disproportionately affect those that are already compliant with 158 00:10:54.720 --> 00:10:57.960 a work requirement, but they're just simply unable to navigate 159 00:10:58.000 --> 00:11:04.039 the paperwork. That absolutely believable. Hell's bills, Dragon, going to 160 00:11:04.080 --> 00:11:07.440 tell you, I find the paperwork in this in this 161 00:11:07.519 --> 00:11:13.200 building to be absurd. I'm trying to get the television 162 00:11:13.279 --> 00:11:15.720 fixed in I haven't been down there, Dragon, because I 163 00:11:15.720 --> 00:11:18.559 know you haven't been down there. I've been down So 164 00:11:18.720 --> 00:11:22.639 I finally talked to one of the engineers and they 165 00:11:23.200 --> 00:11:27.480 walked me through the process. And the drop down menus 166 00:11:27.639 --> 00:11:32.000 are absurd. But I finally got a request in. We'll 167 00:11:32.000 --> 00:11:37.399 see what happens. Now. How could it lead to a 168 00:11:37.480 --> 00:11:44.559 coverage loss a work requirement? Well, again, it's the administrative 169 00:11:44.600 --> 00:11:49.159 barriers like proving compliance on a monthly basis, Well, that 170 00:11:49.279 --> 00:11:52.879 could cost someone who's actually eligible to lose their coverage. 171 00:11:53.399 --> 00:11:55.840 And then you have people that live in a rural area. 172 00:11:55.960 --> 00:12:01.879 If you live in Campo, Colorado, Mike Is, there's not 173 00:12:02.000 --> 00:12:07.080 a lot of job opportunities. There's no educational opportunities that 174 00:12:07.120 --> 00:12:09.720 I know. I don't even think there's a public school 175 00:12:09.759 --> 00:12:17.080 in Campo itself. And insofar as a volunteer opportunity, I 176 00:12:17.120 --> 00:12:21.200 don't know, volunteer to watch how many cattle trucks drive 177 00:12:21.240 --> 00:12:24.639 through town? Do it for the county? 178 00:12:25.559 --> 00:12:26.080 I don't know. 179 00:12:26.480 --> 00:12:29.240 I'm just saying that there are probably areas where it's 180 00:12:29.320 --> 00:12:32.759 just you know, some people will just be kicked off. 181 00:12:34.080 --> 00:12:38.799 But let's go back to the administrative requirements. That's the bureaucracy, 182 00:12:39.120 --> 00:12:43.799 that's the deep state. Well, why doesn't Congress then step 183 00:12:43.919 --> 00:12:50.879 up and require the deep state, the Medicaid administrators to 184 00:12:50.960 --> 00:12:58.240 streamline the paperwork. Why not do that? There's also a 185 00:12:58.399 --> 00:13:03.879 requirement for scharricter eligibility verification. Kind of gets back to 186 00:13:03.919 --> 00:13:11.200 the administrative problem. Because this resolution, this bill House Resolution 187 00:13:11.279 --> 00:13:12.039 one is what's. 188 00:13:11.879 --> 00:13:13.159 Called the OBBB. 189 00:13:15.480 --> 00:13:19.919 It requires Medicaid recipients to verify their eligibility twice a 190 00:13:20.000 --> 00:13:23.679 year instead of once a year. Oh oh, what a burden. 191 00:13:26.080 --> 00:13:31.120 That's awful. Of course, I'm being facetious. If you're taking 192 00:13:31.240 --> 00:13:36.720 opm other people's money, including my great great great grandchildren 193 00:13:36.759 --> 00:13:38.639 who have yet to be born, if I'm going to 194 00:13:38.720 --> 00:13:41.799 have any because we got that much debt piled on, 195 00:13:42.120 --> 00:13:44.320 then the least you can do is twice a year 196 00:13:44.799 --> 00:13:49.519 prove that you're eligible to take other people's money. It 197 00:13:49.559 --> 00:13:55.480 also mandates that there be a home address verification, and 198 00:13:55.519 --> 00:13:58.679 if your home exceeds a value over a million dollars, 199 00:13:58.720 --> 00:14:03.639 then year excluded. Now, considering what's going on in the 200 00:14:03.679 --> 00:14:08.639 real estate market, that might be questionable because there are 201 00:14:08.679 --> 00:14:13.840 probably some seniors or some medicaid recipients that are you know, 202 00:14:13.960 --> 00:14:18.559 of course whom I'd give them advice. But you might 203 00:14:18.559 --> 00:14:21.519 want to call Frank Durant and get that house sold 204 00:14:21.879 --> 00:14:24.240 and get that equity out of there, quit paying those 205 00:14:24.240 --> 00:14:29.480 stupid property taxes and gont go downsize if you could. 206 00:14:30.360 --> 00:14:33.320 But it would exclude an applicant if you have an 207 00:14:33.360 --> 00:14:37.080 asset a home that's valued over a million dollars on 208 00:14:37.159 --> 00:14:40.480 the service. That seems pretty reasonable to me because unless 209 00:14:40.480 --> 00:14:42.879 you've got a million dollar mortgage on that million dollar home. 210 00:14:43.240 --> 00:14:46.039 Then you know, if you got a million dollar mortgage 211 00:14:46.080 --> 00:14:49.679 on the home and you are servicing a million dollar mortgage, 212 00:14:50.200 --> 00:14:53.440 and even if it was in prior rates, that means 213 00:14:53.440 --> 00:14:56.000 you've got some sort of cash flow somewhere, and maybe 214 00:14:56.000 --> 00:15:01.000 you shouldn't be a medicaid. This is the harsh reality 215 00:15:01.120 --> 00:15:06.440 of dealing with entitlements, dealing with when you're using your 216 00:15:06.480 --> 00:15:10.720 tax dollars, my tax dollars. When you're when you're expropriately 217 00:15:10.919 --> 00:15:14.360 expropriating those monies out of my paycheck so that you 218 00:15:14.360 --> 00:15:16.279 can go give it to somebody else, then yeah, I 219 00:15:16.279 --> 00:15:18.279 want to make sure that whoever you're giving I career, 220 00:15:18.360 --> 00:15:19.759 you not to give it to anybody else. 221 00:15:19.919 --> 00:15:21.200 I'd perfect prefer. 222 00:15:21.039 --> 00:15:25.159 To keep it myself, selfish mastard that I am. But 223 00:15:25.240 --> 00:15:29.440 if we're going to have a government social safety net 224 00:15:29.720 --> 00:15:33.440 as opposed to a private or volunteer social safety net, 225 00:15:33.679 --> 00:15:37.360 then yeah, I want I want some eligibility requirements to 226 00:15:37.399 --> 00:15:41.360 be met. And you know what's bizarre about me making 227 00:15:41.399 --> 00:15:49.360 that statement. Most volunteer organizations also have eligibility requirements. You 228 00:15:49.399 --> 00:15:53.000 want to go get a uh, you know, help from 229 00:15:53.080 --> 00:15:56.919 some organization. You want to get free therapy, you want 230 00:15:56.919 --> 00:16:00.519 to get free whatever it is. Okay, Well prove to 231 00:16:00.600 --> 00:16:03.399 us that you're you meet our requirements to get it 232 00:16:03.519 --> 00:16:08.519 for free. Well, how could that lead to a coverage loss? Well, 233 00:16:08.559 --> 00:16:11.000 if you happen to be a low, low income individual, 234 00:16:11.360 --> 00:16:13.799 maybe you're a senior citizen, or maybe you're in particularly 235 00:16:13.879 --> 00:16:16.919 might maybe you have disabilities, and so you struggle to 236 00:16:16.960 --> 00:16:22.759 provide documentation that could lead to disenrollment. The home value restriction, 237 00:16:23.200 --> 00:16:27.039 which obviously is trying to target wealthier applicants, may affect 238 00:16:27.360 --> 00:16:30.559 you know, edge cases, you know, cases on the margin 239 00:16:31.120 --> 00:16:35.440 in high cost housing markets. If if you live in 240 00:16:35.480 --> 00:16:39.159 a well, I was gonna say a rent controls apartment, 241 00:16:39.279 --> 00:16:41.759 I'm most sure this would apply to an apartment. But 242 00:16:42.159 --> 00:16:45.080 if you live in a high rent area and you've 243 00:16:45.120 --> 00:16:48.720 just lived there all your life, high value area, and 244 00:16:48.919 --> 00:16:51.759 you bought your home for you know, seventy five thousand 245 00:16:51.759 --> 00:16:53.759 dollars and now it's worth more than a million dollars, 246 00:16:54.240 --> 00:16:58.039 but that you have no other income, and maybe you 247 00:16:58.120 --> 00:17:01.440 can sell right now because there's nothing that you could 248 00:17:01.679 --> 00:17:07.599 I mean, you get your million dollars out of your home. Oh, 249 00:17:07.720 --> 00:17:10.640 they're gonna hit you with capital gains tax on something 250 00:17:10.680 --> 00:17:13.519 over what over half a million or something. Maybe it's 251 00:17:13.519 --> 00:17:15.960 more than that for couples. I don't know, whatever it is. 252 00:17:16.480 --> 00:17:18.160 So you're not going to get a million dollars out 253 00:17:18.200 --> 00:17:21.920 of it, so you could end up being kicked off. 254 00:17:23.559 --> 00:17:24.680 Then there's another. 255 00:17:24.880 --> 00:17:29.480 Part, another reason why Democrats are screaming about people being 256 00:17:30.279 --> 00:17:33.440 losing their health fit because there's going to be reduced 257 00:17:33.480 --> 00:17:36.680 federal funding and there's going to be an increase in 258 00:17:36.759 --> 00:17:39.680 cost shore. I'll explain what. 259 00:17:39.559 --> 00:17:46.960 That means next. 260 00:17:50.039 --> 00:17:53.200 You usually do very well at thinking outside the box, 261 00:17:53.720 --> 00:17:56.960 but I think you're missing the point here. One of 262 00:17:56.960 --> 00:17:58.960 the big concerns a lot of the Democrats have been 263 00:17:59.000 --> 00:18:02.240 banking that is there is not enough people for the workforce. 264 00:18:03.319 --> 00:18:06.160 Doing this to affect medicaid will get a lot of 265 00:18:06.200 --> 00:18:11.440 people to get off their duff and even volunteer at 266 00:18:11.440 --> 00:18:16.440 like ranches or helping at the produce production places. 267 00:18:17.000 --> 00:18:25.480 By with all due respect, do you really think someone 268 00:18:25.559 --> 00:18:30.359 who's been milking medicaid medicaid for years is going to 269 00:18:30.400 --> 00:18:37.720 go work in a produce plant or work on a ranch. 270 00:18:38.880 --> 00:18:42.160 You ever worked on a ranch? You ever bailed hay, 271 00:18:43.319 --> 00:18:46.720 you ever drilled the pickup truck? Out of the back 272 00:18:46.799 --> 00:18:50.599 forty dump all the hay out to feed the cattle 273 00:18:50.640 --> 00:18:54.240 and make sure the water tank was full. That's work, 274 00:18:55.279 --> 00:19:00.319 that's real work. I don't think they'll volunteer to do that. 275 00:19:02.359 --> 00:19:06.359 I'm not sure they would work to get paid to 276 00:19:06.359 --> 00:19:09.519 do that either, but maybe they will. Maybe you're right, 277 00:19:09.559 --> 00:19:15.079 maybe they will. I think what will happen is if 278 00:19:15.279 --> 00:19:19.759 if people are let's set of, let's set aside for 279 00:19:19.839 --> 00:19:26.880 a moment, those who are incapable of dealing with the paperwork, elderly, 280 00:19:29.359 --> 00:19:34.680 you know, maybe low IQ, what whatever the situation circumstances 281 00:19:34.799 --> 00:19:44.319 might be. Uh, those people probably should have some sort 282 00:19:44.359 --> 00:19:48.480 of assistance, which I'm sure there'll be volunteer organizations. There 283 00:19:48.480 --> 00:19:51.279 will probably be even divisions. But you know, it'd be 284 00:19:51.359 --> 00:19:54.960 like going to a Social Security office and telling them, hey, 285 00:19:55.039 --> 00:19:57.200 you know, I've reached the age where I need to 286 00:19:57.240 --> 00:19:59.039 apply I'm not sure how to do it or whatever, 287 00:19:59.400 --> 00:20:01.160 and I don't to do it online or I don't 288 00:20:01.160 --> 00:20:03.519 have a computer or whatever it is, and they'll walk 289 00:20:03.519 --> 00:20:08.759 you through and do it for you. But regardless of 290 00:20:08.799 --> 00:20:13.720 any of that, just requiring some sort of work, volunteer 291 00:20:14.079 --> 00:20:20.319 or being getting an education, I think it is a 292 00:20:20.400 --> 00:20:21.440 minimal requirement. 293 00:20:22.759 --> 00:20:25.599 Excuse me, So what. 294 00:20:28.839 --> 00:20:32.960 There is reduced federal funding and they have increased the 295 00:20:33.000 --> 00:20:36.839 cost sharing for the states. Now you know that Medicaid 296 00:20:36.839 --> 00:20:41.240 is actually administered by the states, and a lot of states, 297 00:20:42.000 --> 00:20:46.839 excuse me, Colorado, California, I'm looking at you actually allow 298 00:20:47.319 --> 00:20:55.880 illegal aliens on the program. So the OBBB that may 299 00:20:55.880 --> 00:20:58.960 have been too many b's, I don't know. The OBBB 300 00:21:00.359 --> 00:21:05.039 actually reduces what's called the federal medical assistance percentage. For 301 00:21:05.160 --> 00:21:11.880 states that expanded Medicaid using Obamacare, they'll cut the federal 302 00:21:11.880 --> 00:21:17.400 contributions by ten percent if your state covers illegal aliens. 303 00:21:18.599 --> 00:21:22.119 So California, New York, Colorado, all of these blue states 304 00:21:22.119 --> 00:21:25.039 that are doing it, you're going to have to make 305 00:21:25.119 --> 00:21:27.880 up that difference, or you're going to figure out a 306 00:21:27.920 --> 00:21:35.079 way to reverse your dumbass policy of American taxpayers subsidizing 307 00:21:35.119 --> 00:21:38.400 the healthcare of people who are in this country illegally 308 00:21:38.680 --> 00:21:41.400 and who aren't working, or are not getting an education 309 00:21:41.519 --> 00:21:44.680 or what. Well, frankly, just the fact they're here illegally. 310 00:21:44.720 --> 00:21:47.279 In my opinion, they should not be entitled to any 311 00:21:47.359 --> 00:21:52.359 of our benefits other than the protections they're due. That 312 00:21:52.559 --> 00:21:56.759 anybody would do that would be entitled to under our constitution. 313 00:21:57.240 --> 00:21:59.960 Whether you're here as a visitor on a tourist visa, 314 00:22:00.599 --> 00:22:03.480 or you're from a country that doesn't require a truist visa, 315 00:22:03.880 --> 00:22:06.680 you're here on a business trip, or whatever, you're still 316 00:22:06.680 --> 00:22:09.640 subject to the same criminal laws, due process, et cetera. 317 00:22:09.720 --> 00:22:16.920 By got all of that all right, This bill also 318 00:22:17.039 --> 00:22:21.640 introduces copays up to thirty five dollars per visit. It 319 00:22:21.680 --> 00:22:27.279 does exclude emergency, prenatal, pediatric, or primary care for recipients 320 00:22:27.319 --> 00:22:30.160 earning above one hundred percent of the federal poverty level, 321 00:22:30.559 --> 00:22:32.920 which I think is around thirty two thousand dollars for 322 00:22:32.960 --> 00:22:37.759 a family of four. And then it freezes state provided 323 00:22:38.559 --> 00:22:44.240 state provider taxes which fund Medicaid, which will potentially reduce 324 00:22:44.720 --> 00:22:49.480 state budgets. So what's the impact. Go back to the CBO. 325 00:22:50.559 --> 00:22:55.599 They say those funding changes could save could save five 326 00:22:55.720 --> 00:23:00.319 hundred and sixty one billion dollars over the next decade. 327 00:23:00.920 --> 00:23:05.039 Then you have reduced federal support, which will force states 328 00:23:05.079 --> 00:23:09.839 to tighten eligibility. They'll have to probably cut some benefits. 329 00:23:11.000 --> 00:23:15.559 They'll certainly have to stop the stupid Obamacare expansions. And 330 00:23:15.960 --> 00:23:21.119 the only place I can find a citation for the 331 00:23:21.119 --> 00:23:26.400 consequences of that is from the Urban Institute, a very 332 00:23:26.480 --> 00:23:32.920 left leaning organization. Will They project that cutting the federal 333 00:23:33.000 --> 00:23:38.960 medical assistance percentage could lead to about fifteen million losing 334 00:23:39.000 --> 00:23:42.599 coverage if states abandon the expansions. 335 00:23:44.240 --> 00:23:44.960 States may not. 336 00:23:46.519 --> 00:23:50.519 So once and if the states don't, and you're like 337 00:23:50.559 --> 00:23:55.759 Colorado and you can't deficit spend, they'll either try to 338 00:23:55.839 --> 00:24:01.119 raid tabor or they'll try to impose a increase on us. 339 00:24:01.720 --> 00:24:03.960 It'll all be done in the name of how can 340 00:24:04.000 --> 00:24:07.119 you be such a cold hearted human being that you 341 00:24:07.200 --> 00:24:10.160 don't want to support someone on medicaid who came to 342 00:24:10.160 --> 00:24:15.160 the country illegally. Well, I'll raise my hand. You can 343 00:24:15.160 --> 00:24:17.480 call me cold hearted, but I think if you came 344 00:24:17.519 --> 00:24:20.960 to the country illegally, you need to go back home. 345 00:24:21.880 --> 00:24:24.279 Or if you're going to stay here until we until 346 00:24:24.319 --> 00:24:26.680 we send you back home, we shouldn't be paying you 347 00:24:27.000 --> 00:24:32.359 to be here. Why why should we pay you when 348 00:24:32.400 --> 00:24:35.519 you broke the law and you came here and now 349 00:24:35.559 --> 00:24:37.759 you want us to take care of you. No, Na, 350 00:24:38.000 --> 00:24:41.160 and it's not going to happen. So how could it 351 00:24:41.240 --> 00:24:44.519 lead to coverage loss? The states that faced the budget 352 00:24:44.519 --> 00:24:49.680 shortfalls would probably try to reduce Medicaid roles or benefits, 353 00:24:50.680 --> 00:24:53.240 particularly in those so called expansion states where they've been 354 00:24:53.279 --> 00:24:55.559 expanding it and providing it to more and more people 355 00:24:55.599 --> 00:24:58.720 all the time, and then the co pays themselves might 356 00:24:58.839 --> 00:25:02.519 lead to some lapse coverage for those who can't afford 357 00:25:02.559 --> 00:25:04.440 the out of pocket expense. 358 00:25:05.880 --> 00:25:08.319 I would again say, this. 359 00:25:08.240 --> 00:25:12.759 Is where because we've advocated our compassion to the government 360 00:25:13.720 --> 00:25:18.640 that if if you wanted to start a nonprofit that 361 00:25:18.680 --> 00:25:23.519 would help people navigate, you could probably have a You 362 00:25:23.559 --> 00:25:26.440 could probably make a go of that. Or I would 363 00:25:26.440 --> 00:25:29.680 even say if you wanted to start a nonprofit where 364 00:25:29.720 --> 00:25:33.920 you raise money to help people that can't afford to 365 00:25:33.960 --> 00:25:36.759 pay for the co pays, you could probably do that. 366 00:25:37.279 --> 00:25:39.759 There are enough compassionate people in this country. We're the 367 00:25:39.799 --> 00:25:42.319 most giving country in the world, and people are always 368 00:25:42.319 --> 00:25:44.200 willing to give. I mean, he's bills, look at the 369 00:25:44.440 --> 00:25:46.799 Look at the probably billions of dollars that we give 370 00:25:47.240 --> 00:25:50.400 to save animals in this country. So if you wanted 371 00:25:50.440 --> 00:25:53.279 to save someone who's you know, elderly and can't get 372 00:25:53.279 --> 00:25:55.720 out of their home and doesn't even know what a computer, 373 00:25:56.039 --> 00:25:57.799 they may know what a computer is, but they don't 374 00:25:57.799 --> 00:25:59.920 have one, but know how to operate one they went 375 00:25:59.920 --> 00:26:02.759 to the library. I'm sorry to the library and try 376 00:26:02.759 --> 00:26:04.920 to operate the computer that has had somebody that help 377 00:26:04.960 --> 00:26:07.960 them do it. That that might be a nonprofit that 378 00:26:08.000 --> 00:26:13.039 would work. But then there's there are specific and here's 379 00:26:13.119 --> 00:26:18.960 where you'll probably some people's heads will explode. There are 380 00:26:19.000 --> 00:26:25.519 some restrictions for Medicaid eligibility on specific populations, specific groups 381 00:26:25.519 --> 00:26:30.279 of people. It prohibits Medicaid funds funds from going to 382 00:26:30.440 --> 00:26:43.319 organizations like Planned Parenthood YEP. It also explicitly excludes undocked 383 00:26:44.119 --> 00:26:49.359 illegal aliens from Medicaid, and there are penalties for states 384 00:26:49.640 --> 00:26:53.920 that allow the coverage. So defunding Planned Parenthood could limit 385 00:26:53.960 --> 00:26:56.440 access to non abortion services, which is a very small 386 00:26:56.480 --> 00:27:02.119 port for Medicaid recipients million areas with few alternative providers. 387 00:27:02.160 --> 00:27:05.319 I mean, I'm just trying to be objective here. Excluding 388 00:27:05.359 --> 00:27:10.160 an illegal alien. Well, that absolutely aligns with GOP goals 389 00:27:10.200 --> 00:27:13.599 to limit benefits to citizens. But of course it's going 390 00:27:13.599 --> 00:27:16.680 to affect states that have all those stupid policies that say, hey, 391 00:27:16.920 --> 00:27:20.759 we don't care whether you we don't check, just show 392 00:27:20.839 --> 00:27:23.880 up and we'll just pay for you. And states have 393 00:27:23.960 --> 00:27:29.400 that attitude because it's o PM other people's money. The 394 00:27:29.480 --> 00:27:34.200 CBO's estimate of eight point six million losing coverage is 395 00:27:34.920 --> 00:27:39.160 seven point six to ten point three million from Medicaid specifically, 396 00:27:40.279 --> 00:27:43.240 is driven by all of these provisions that I just 397 00:27:43.279 --> 00:27:47.079 described to you. Now, the Center for American Progress, which 398 00:27:47.119 --> 00:27:51.039 is one of the most progressive organizations in the country, 399 00:27:51.519 --> 00:27:53.880 they're out there citing that thirteen million people are going 400 00:27:53.960 --> 00:27:58.640 to lose coverage by by twenty thirty four, including the 401 00:27:58.680 --> 00:28:03.559